How are we doing?

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=125 BGCOLOR="#663399" TEXT="#080000" bgproperties="fixed" background="04a467d1erkjbi.gif"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Great Northern Pizza Kitchen</B></FONT><B>     </B><B>|     </B><A HREF="index.htm" TARGET="_top" TITLE="Great Northern Pizza Kitchen"><U><B>home</B></U></A></div> <div> <B>How are we doing?</B></div> <div> </div> </td> </tr><tr> <td valign="top" width=190 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="04b21233.jpg"> <div> <B><IMG SRC="05796a60.gif" border=0 width="150" height="166" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> </td> <td valign="top" height=355 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="04b21233.jpg"> <div> How are we doing?</div> <div> At Great Northern, we are always striving to improve our guests experience. We value our guests opinion. Please take a moment to fill this comment card out to tell us how we are doing and simply press "Submit." We truly appreciate your comments. </div> <div> Much Appreciated, </div> <div> Chris and Rob</div> <bR>  <form method="post" target="_top" action="sendMail.asp"> <input type="hidden" name="to" value="phecht@brueggers.com"> <input type="hidden" name="subject" value="Comment Card"> <input type="hidden" name="form" value="http://www.greatnorthernnpizza.com/comment.htm"> <p> The quality of service at the pizza, salad, or sandwich station was:<BR> <B>Disappointing</B> <INPUT TYPE="RADIO" NAME="quality" VALUE="1" > <INPUT TYPE="RADIO" NAME="quality" VALUE="2"> <INPUT TYPE="RADIO" NAME="quality" VALUE="3" CHECKED> <INPUT TYPE="RADIO" NAME="quality" VALUE="4"> <INPUT TYPE="RADIO" NAME="quality" VALUE="5"><B>Outstanding</B><BR><BR> I was served in a timely manner: <BR><INPUT TYPE="RADIO" NAME="timely" VALUE="yes" >Yes      <INPUT TYPE="RADIO" NAME="timely" VALUE="no">No<BR><BR><i><FONT SIZE="+2">Cleanliness</font></i><BR> The outside of the store was clean:<BR> <INPUT TYPE="RADIO" NAME="clean_out" VALUE="yes" >Yes      <INPUT TYPE="RADIO" NAME="clean_out" VALUE="no">No<BR><BR> The inside of the store was clean:<BR> <INPUT TYPE="RADIO" NAME="clean_in" VALUE="yes" >Yes      <INPUT TYPE="RADIO" NAME="clean_in" VALUE="no">No<BR><BR> <i><FONT SIZE="+2">Specifics about your visit</font></i><BR> Which store(s) are you referring to<select name="location"> <option value="brighton">Brighton <option value="greece">Greece <option value="fayetteville">Fayetteville <option value="pittsford">Pittsford <option value="Williamsville">Williamsville </select><BR><BR> What was the date of your visit?<SELECT name="visit_Month" > <OPTION value="1">Jan <OPTION value="2">Feb <OPTION value="3">Mar <OPTION value="4">Apr <OPTION value="5">May <OPTION value="6">Jun <OPTION value="7">Jul <OPTION value="8">Aug <OPTION value="9">Sep <OPTION value="10">Oct <OPTION value="11">Nov <OPTION value="12">Dec </SELECT> <SELECT name="visit_day"> <OPTION value="1">1 <OPTION value="2">2 <OPTION value="3">3 <OPTION value="4">4 <OPTION value="5">5 <OPTION value="6">6 <OPTION value="7">7 <OPTION value="8">8 <OPTION value="9">9 <OPTION value="10">10 <OPTION value="11">11 <OPTION value="12">12 <OPTION value="13">13 <OPTION value="14">14 <OPTION value="15">15 <OPTION value="16">16 <OPTION value="17">17 <OPTION value="18">18 <OPTION value="19">19 <OPTION value="20">20 <OPTION value="21">21 <OPTION value="22">22 <OPTION value="23">23 <OPTION value="24">24 <OPTION value="25">25 <OPTION value="26">26 <OPTION value="27">27 <OPTION value="28">28 <OPTION value="29">29 <OPTION value="30">30 <OPTION value="31">31 </SELECT> <SELECT name="visit_Year"> <OPTION value="2004">2004 <OPTION value="2005" SELECTED>2005 <OPTION value="2006">2006 </SELECT><BR> What time of day did you visit us? <INPUT TYPE="RADIO" NAME="time" VALUE="Morning" >Morning      <INPUT TYPE="RADIO" NAME="time" VALUE="Afternoon">Afternoon      <INPUT TYPE="RADIO" NAME="time" VALUE="Evening">Evening<BR> Do you have any suggestions for a new pizza?<TEXTAREA name="newpizza" wrap rows=3 cols=40></TEXTAREA><BR><BR> <i><font size="+2">Overall Experience</font></i><BR>I would recommend Great Northern to a friend.<BR><INPUT TYPE="RADIO" NAME="recommend" VALUE="yes" >Yes      <INPUT TYPE="RADIO" NAME="recommend" VALUE="no">No<BR><BR>Based on this experience, I will visit Great Northern:<BR><INPUT TYPE="RADIO" NAME="experience_visitfuture" VALUE="less" >Less Often      <INPUT TYPE="RADIO" NAME="experience_visitfuture" VALUE="asoften">As often      <INPUT TYPE="RADIO" NAME="experience_visitfuture" VALUE="more">More Often<BR><BR>Please share your comments with us: <TEXTAREA name="comments" wrap rows=3 cols=40></TEXTAREA><BR><BR><I><font size="+2">Mailing Information</font></i><BR> Name: <INPUT type="text" name="Name" value="" size=35,1><BR> Address: <INPUT type="text" name="Address" value="" size=35,1 ><BR> City: <INPUT type="text" name="City" value="" size=15,1 > State: <INPUT type="text" name="State" value="NY" size=2,1> ZIP: <INPUT type="text" name="ZIP" value="" size=5,1 ><BR> Phone Number: <INPUT type="text" name="PhoneNo" value="" size=20,1><BR>Email address:<INPUT type="text" name="from" value="" size=35,1><BR><BR><INPUT type="submit" value="Submit"></FORM> </td> </tr></table></body>